I was on Cialis for a couple of years under my company's insurance plan. Cialis served me very well. Recently my company insurance no longer covered Cialis, so I looked for a more affordable solution and tried out this company's version of Cialis. It all looked the same, even with the "Lilly" label. But I have had no results from using the pills from this company. The clincher is that the real Cialis gave me some nasal congestion especially when I had alcohol after taking the pill. Cialis from this pharmacy has given me no such congestion. And it did nothing for my ED, when my previous stateside source for Cialis ended my ED, and then some!